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Your Name*

Card Name

Gender

Male Female

Birthday*

Title

ID Card

Nationality

Passport No.

Address 1*

City

State

Country of residence

Postal Code

Company*

Mobile Phone*

Office Phone

Fax Number

Language

Marital Status

By ticking the box below, you hereby give your consent to Dusit Thani Manila to do the following:

Include your details in the hotel’s database
Send you regular notifications of the hotel’s promotions and Dusit Lifestyle offerings via e-mail and SMS.
Perform other processing or disclosure that may be required to provide effective services stated in the membership’s terms and conditions.

I have read and accept the terms and conditions of the Dusit Lifestyle Membership .

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